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Individual

MISS JANA BETH THORSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2200 W WHITE RIVER BLVD, MUNCIE, IN 47303-5242
(765) 289-3341
Mailing address
3607 N CHADAM LN APT 1C, MUNCIE, IN 47304-5230
(765) 289-3341

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000380A
IN

Other

Enumeration date
07/03/2007
Last updated
07/08/2007
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